Co-Occurence of Florid Cemento-Osseous Dysplasia and Simple Bone Cyst: a Case Report

Abstract

BackgroundThe purpose of this report is to present a rare case of co-occurrence of florid cemento-osseous dysplasia with simple bone cyst in a middle aged Asian woman. Most of the reported cases are isolated cases of simple bone cyst or florid cemento-osseous dysplasia, but co-occurrence of these two entities is extremely rare.MethodsThe authors report a 41 year old female patient with co-occurrence of mandibular florid cemento-osseous dysplasia with simple bone cyst. A thorough clinical and radiological examination was carried out.ResultsIt was diagnosed mandibular cyst with possible co-occurrence of florid cemento-osseous dysplasia. Surgical exploration of the multilocular lesion was applied. Since, the patient was symptomatic at the time of presentation utmost caution was taken during the surgical procedure as florid cemento-osseous dysplasia is associated with hypo-vascularity of the affected bone. Based on histopathological, as well as supporting clinico-radiological findings a confirmative diagnosis of florid cemento-osseous dysplasia co-occurring with simple bone cyst was made. Patient was followed-up for a period of six months and was reported to be asymptomatic.ConclusionsTimely diagnosis and well planned treatment is important to obtain a good prognosis when a rare co-occurrence of two or more bone lesions affects the jaws.

Management of symptomatic florid cemento-osseous dysplasia: Literature review and a case report

“…The populations most affected by this benign lesion are middle aged black women ( 17 ). FCOD lesions have a tendency towards bilateral, often quite symmetrical, location, and it is not unusual to find extensive lesions in all 4 posterior quadrants of the jaw ( 18 , 19 ).…”

Florid Cemento-Osseous dysplasia - A hidden inquest

“…It is categorised under fibro-osseous lesions, which has more of female predilection and is commonly seen affecting the middle age group , Shah et al 2011, Kutluay et al 2013. It is a rare disease, observed to be markedly exuberant and has a striking tendency to involve all the four quadrants of the jaws symmetrically (Lawal et al2011, Rao et al 2011, Komali et al 2012). The word "florid" was introduced to portray its wide spread and remarkable nature of the disease to occur in multiple quadrants of the jaws (Rao et al 2011).…”

“…It is a rare disease, observed to be markedly exuberant and has a striking tendency to involve all the four quadrants of the jaws symmetrically (Lawal et al2011, Rao et al 2011, Komali et al 2012). The word "florid" was introduced to portray its wide spread and remarkable nature of the disease to occur in multiple quadrants of the jaws (Rao et al 2011). The patients with FCOD are usually asymptomatic and occasionally some patients present with dull pain associated with swelling, purulent discharge and formation of sequestrum (Rao et al 2011).…”

“…World Health Organization in 2005 has classified Cemento-Osseous Dysplasias (CODs) into periapical (surrounds the apical region of teeth), florid (sclerotic symmetrical masses), and focal (single lesion) CODs , Rao et al 2011). Florid cemento-osseous dysplasia (FCOD) was first described by Melrose et al in 1976 (Lawal et al2011).…”

“…The word "florid" was introduced to portray its wide spread and remarkable nature of the disease to occur in multiple quadrants of the jaws (Rao et al 2011). The patients with FCOD are usually asymptomatic and occasionally some patients present with dull pain associated with swelling, purulent discharge and formation of sequestrum (Rao et al 2011). Radiographically, the lesions appear as multiple sclerotic masses evident in both the jaws, predominantly in the mandible than the maxilla.…”